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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionObjectives
General Insurance Principles- Insurance concepts
  • 1. Risk, peril, hazard
    • 2. Principles of indemnity and insurable interest
      Policy Administration and Ethics- Ethical obligations
      • 1. Disclosure requirements
        • 2. Suitability and fiduciary duties
          Insurance Law and Regulation (Maryland)- Maryland Insurance Administration rules
          • 1. Unfair trade practices (rebating, twisting, misrepresentation)
            • 2. Producer licensing requirements
              Health Insurance Systems- Managed care models
              • 1. HMO, PPO, POS
                - Government health programs
                • 1. Medicaid basics
                  • 2. Medicare basics
                    Accident and Health Insurance Basics- Types of coverage
                    • 1. Medical expense insurance
                      • 2. Disability income insurance
                        • 3. Accidental death & dismemberment (AD&D)
                          - Policy structure and provisions
                          • 1. Definitions and clauses
                            • 2. Exclusions and limitations

                              Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

                              1. When a producer engages in unfair practices, all of the following are true EXCEPT:

                              A) The Maryland Insurance Administration's decision is final
                              B) The Maryland Insurance Administration can investigate the problem and hold a hearing
                              C) The Maryland Insurance Administration can suspend the producer's license
                              D) The Maryland Insurance Administration can issue a cease and desist order


                              2. When determining the premiums for large groups, most insurance companies use:

                              A) Experience rating
                              B) Area rating
                              C) Occupational rating
                              D) Pooled rating


                              3. An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

                              A) A skydiving exhibition
                              B) A state-sponsored centennial celebration
                              C) A nuclear power plant
                              D) A drug smuggling operation


                              4. All advertisements for health insurance shall make clear the identity of the:

                              A) Insurer
                              B) Insured
                              C) Insurance Commissioner
                              D) Beneficiary


                              5. If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

                              A) Help the employer sign-up through the SHOP Exchange
                              B) Refer the employer to a licensed insurance producer
                              C) Refer the employer to the carrier where a friend works
                              D) Refer the employer to the Maryland Insurance Administration


                              Solutions:

                              Question # 1
                              Answer: A
                              Question # 2
                              Answer: A
                              Question # 3
                              Answer: D
                              Question # 4
                              Answer: A
                              Question # 5
                              Answer: B

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